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HomeMy WebLinkAboutPermit Electrical 2005-10-10 " 1. fL'66iTiON'OEJNStAif.&:hdM~" iEv..:,,;;..r."_'U~~ -~ <~- - - . ...,- , ;i. lo't,7 Lo(HA:oJ(/J p.\J(, LEGAL DESCRIPTION )7032721- 07 S-Z 7 JOB DESCRIPTION GAR.AG.f REMO€>€:L , Permits are non-transferable and expire if work is Each Manufact'd Home or ~ not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 2. ~~1[~0:i[~$f~~:i1 B. ~~i~~~ttI~~~l~~1ftR:~~RRli':>~ti~,,: _ <\uites'! , ' Electrical Contractor t AS r5/ Dc (LIE C. .t.qg~bl''f~Jse Otegon 0\11\\'1(\" ",ii~~i\O')~k'fO'4OW~Me set 10 ~ Address 3<6~5 3 g05CAGE' L/Vln\lOVltU\e~2h~pt\t6''6Ud~s\1'\952.00t'l ~oti\ica\iOn (i~A:/rtp9~lc&o,Anip's"'e tuleS <> spr 0 '?li( IUc::l&\~1'\952- ,^",Il}.SW'':'-, \elep\"lon City '(L '17 Y n Phone ..J...L - 7 .~t'1"' 'IOU ~"uu m!3~OItS r catiOn $375,00 0090. , \~~el!t &\Y, \.l\ili\'i \'lo\\ I $ 50,00 , callIng ,\\"Ie Ote~.23'V\)' y 7.2 7 5' {lutnb~f&1m\tM~ire1X!~1~ftW4m~I.\,~t\(~~. $50,00 6'$,00 $ 63,00 $ 75,00 $125,00 $163,00 Supervisor License Number Expiration Date )0-0/- (')7 Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps , Over 600 Amps or 1000 Volts see "B" above, lii""""",,';~'~~,,(1lF1[~, ."";q~~"~~,,,,", <iii',~, ,'"Th'l;;;'>~;''' n. B~.f.!Lgl!:~1!tts~m~;j_- vt; . , . t.-~~I ..,' " - -~i~,'tI.:ti.~ New Alteration or Extension Per P~l!el, One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50,00 $ 69,00 $100,00 Constr, Contr, Number 117 7 ? 0 Expiration Date J 0 .. O}- 06 Signature of Supervising Electrician -' . ~9-4 ~ ownersNarn~5~ 1Ar-.e Address If) F:7 Lat.L...ltvC;v frrI s? F~ Phone 7'{( - OOS""b $ 43.00 ~ I ' , s $ 3,00 IS.oO E. '~9ahn~~~i~it;1f~~~t~iri~~~fu,~=i1~1i~ii Inspection Request: 726.3769 S 50,00 $ 50,00 City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00882 ISSUED: 08/0112005 APPLIED: 07/11/2005 EXPIRES: 04/06/2006 VALUE: $ 28,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1087 LOCRA VEN AVE ASSESSOR'S PARCEL NO.: 1703272207529 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Garage conversion 'Owner: SUSAN PAYNE Address: 1087 LOCRA VEN AVE SPRINGFIELD OR 97477 Phone Number: 541-741-0056 , CONTRACTOR INFORMATION , ~'- Contractor o."s\\'O'O ~\J\\i\\'\\'0 License JAMIE L STANDllt~R'O OI'O~o '0 'O'O\\~IJ\' 67328 EASTSID~~C1N,€.; '0.1 ,?!S'/.'., i 117770 JA~ 'tfu;l\'O~~~'O'O IOn'" 01>:':.p, I~W' 158262 1>-"\\ ~~ \0\'0'" C;e~W'~\CJ 'BuiiJDING'INFORMA TION I 'O\\?\C'O.\\O~ .r;;:,r;;:".\j 'f;)\'O.\" - oW'' ':"''.\ "W, # of Units: ~o\\' ~ (?,S'/. 'O.'lo ,'01, ~~\ofSto,~~s:'l' Primary Occupancy Gro'IPp\>1" '!Ooit3 G'O~ OI'O~('Height'of Structure ^9VO \'(\~ e ?>"\) Secondary Occupancy GrOlJp, ^\\~~ '0\ ~ ''0,. Type of Heat: Primary Construction Type C?> ~'O~VN'O~\'O\ \ Water Type: Secondary Construction Type:(\U v Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Expiration Date 06/18/2007 10/04/2006 01/12/2006 Phone 541-729-2482 541-915-9828 541-484-7440 Contractor Type General Electrical Plumbing Wall Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Path 1 nla Street Improvements: Storm Sewer Available: Special Instruction: I DEVELOPMENT INFORMATION , ~IRED PARKING Overlay Dist: t~ ~~~ # Street Trees Rqd: ~~ ~~, dicapped: Paved Drive Rqd: \. ~ u.\~ ~\:l ~~ ompact: % of Lot cove~"f:.: ~ ':I't.~~~~ '\~~\\~~ .,).~:"\ .nY~~':, \)'J: \':1 ~l. I PUBLIC IMPROw~~tp~ ~~~ I'. .tI\<'~ ~~ . Fully Improved c.l;)~~ ,ro'i:J, SIdewalk Type: Setback 5' Yes ~~ DownspoutslDrains: Curb and Gutter \ Fronty,ard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: Palle 1 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00882 ISSUED: 08/0112005 APPLIED: 07/11/2005 EXPIRES: 04/06/2006 VALUE: $ 28,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , Valuation Descrintion I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 28,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $28,000.00 $28,000.00 07/1112005 FpPo. PliILI Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $157.27 7/11105 2200500000000000907 -Mechanical Issuance Fee-- $10.00 8/1/05 1200500000000001120 + 10% Administrative Fee $33.20 8/1/05 1200500000000001120 + 7% State Surcharge $23.24 8/1/05 1200500000000001120 - Appliance Not Listed $18.00 8/1/05 1200500000000001120 Building Permit $241.95 8/1/05 1200500000000001120 Dryer Vent $6.00 8/1/05 1200500000000001120 Fixture $42.00 r 8/1/05 1200500000000001120 MinimumfAdjustment Mechanical $15.00 8/1/05 1200500000000001120 MinimumfAdjustment Plumbing $3.00 8/1/05 1200500000000001120 Sanitary Sewer - Improvement $133.49 8/1/05 1200500000000001120 Sanitary Sewer - Reimbursement $175.49 8/1/05 1200500000000001120 SDC Sanitary/Storm Admin $15.45 8/1/05 1200500000000001120 Vent Fan $6.00 8/1/05 1200500000000001120 + 10% Administrative Fee $8.10 10/6/05 2200500000000001390 + 7% State Surcharge $5.67 10/6/05 2200500000000001390 Add, Alter, Extend Circ Ea Add $18.00 10/6/05 2200500000000001390 Perm ServlFdr 200 amps or less $63.00 10/6/05 2200500000000001390 Total Amount Paid $974.86 I Plan Reviews I Initial Review 07/21/2005 07/21/2005 APP SKG Plan nine Review 07/2112005 07/28/2005 APP TAJ No Planning review required. Public Works Review 07/21/2005 07/22/2005 APP CAS New bathroom SDC Fee Structural Review 07/21/2005 07/26/2005 APP JB Approved as noted on plans To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~enllirp.rU"nsnections I Post and Beam: Prior to floor insulation or decking. Paee 2 of3 . . CITY VI' ~rK11'1ut<lJ'..LJJ Building/Combination Permit PERMIT NO: COM2005-00882 ISSUED: 08/0112005 APPLIED: 07/1112005 EXPIRES: 04/0612006 VALUE: $ 28,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after aU rough In Inspections have been approved. Walllnsulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building Is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mecbanical work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, tbat I have carefully examined the completed application and do hereby certify tbat all information hereon is true and correct, and I further certify that any and aU work performed shall be done in accordance witb the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans wlll remain on the site at all times during construction. Owner or Contractors Signature Date Pa!!e 3 of3 225 Fifth Street Spri~gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00882 COM2005-00882 COM2005-00882 COM2005-00882 Payments: Type of Payment CreditCard .( :, . " .f ,I ,. 10/6/2005 . RECEIPT #: ~\ JiJ..ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001390 Date: 10/06/2005 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Cire Ea Add + 7% Slate Surcharge + 10% Administrative Fee Paid By ROGER KING Item Total: Check Number Authorization Received By Batch Number Number How Received djb 05592B In Person Payment Total: Page 1 of I I:S9:04PM Amount Due; . 63,00 ' 18,00 5,67 8,10 $94.77 Amount Paid $94,77 $94.77 ~ ,